Improving Hospital Quality Reporting and Data Submission Process
Enhance hospital quality reporting with topics like adverse events, infections, and safety measures. Learn about HIIN measures, data submission, NHSN rights, and quality reporting channels. Ensure patient care improvement through clinical data tracking and submission processes.
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Presentation Transcript
Using QHi for HIIN April 17th2018 Presented By: Shanelle Van Dyke
HIIN Measures Additional HIIN Topics Core HIIN Topics Adverse drug events (ADE) Addressing malnutrition in the inpatient setting Catheter-associated urinary tract infections (CAUTI) Airway safety Central line-associated blood stream infections (CLABSI) Diagnostic errors Developing metric to measure and report on all-cause harm Clostridium difficile (C. diff) Injuries from falls and immobility Hospital culture of safety Pressure ulcers (PrU) Iatrogenic delirium Readmissions Multi-drug resistant organisms Sepsis and septic shock Surgical site infections (SSI) Undue exposure to radiation Venous thromboembolism (VTE) Ventilator-associated events (VAE)
Quality Reporting Channels Whats Reported Where HIIN NHSN CDS CDS HIIN HIIN HAI Measures Measures (non HAI Measures) 3
Conferring Rights - NHSN There are two key parts, both of which must be completed in order to successfully confer rights to your data: You must first join the HRET group, then You must review the confer rights template and Accept it These steps must be performed by a facility s NHSN Administrator. Contact nhsn@cdc.gov if you do not know your facility s NHSN administrator or if you have technical issues with NHSN.
Data Submission A key component to making patient care safer in your hospital is to track your progress towards improvement using clinical data. Data Tools. The Encyclopedia of Measures (EOM) which serves as the measure reference guide for core evaluation and additional required topic measures. Submitting Data. If your hospital submits HAI data to NHSN. You will need to join the HRET HIIN NHSN group to confer rights to the data from NHSN, the NHSN Group Instructions will guide you through this process. The Comprehensive Data System (CDS) is the secure, web-based data collection and reporting system that hospitals use for HIIN. For instructions on how to set up user accounts in CDS, please see the guide for hospitals that are NEW to CDS, and another guide for RETURNING hospitals. These Quick Start Guides cover logging into CDS and walk you through how to set up user accounts for your hospital. For instructions on how to perform data entry in CDS, please see the CDS Data Entry Quick Start Guide.
Quality Reporting Process - How its connected Option #4 HIIN EMR/EHR Report via CSV File format for direct upload Shanelle Van Dyke Option #1 CDS Manual Data Entry Shanelle Van Dyke Van Dyke Shanelle Shanelle Van Dyke Option #2 Option #3 Rural CAH Data Collection Tool (Low Volume) QHi 6
Comprehensive Data System (CDS) For Collection & Submission of all HIIN Measures
Quality Health Indicators (QHi) For Collection & Submission of all Flex Measures & now HIIN!
DEMO HIIN Comprehensive Data System (CDS) Overview QHi Overview How to add the WHA HIIN measures within QHi so you can report them. HAI data pull over HIDI data pull over
Upcoming HIIN Deadlines Updated Needs Assessment by May 15th 2018 Baseline Data by May 15th 2018 Filling in the gaps; any missing baseline data January March 2018 data due June 25th 2018 In addition to, filling in the gaps; any missing monitoring data
